NPI 1013515089
Catherine Ruth, QMHPA
Practice location
- Address
- 4113 Stevenson St, Fairfax, VA 22030-5617
- Phone
- (703) 460-6200
- Mailing address
- 14150 Parkeast Cir STE 200, Chantilly, VA 20151-4212
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013515089
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Oct 2020
- Record last updated
- 13 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.